FL-347
PETITIONER:
CASE NUMBER:
RESPONDENT:
Until a judgment has been entered and filed on all remaining issues, the petitioner respondent must
indemnify and hold the other party harmless from any adverse consequences to the other party if the bifurcation results in a
termination of the other party's right to a probate homestead in the residence in which the other party resides at the time the
severance is granted.
c.
Until a judgment has been entered and filed on all remaining issues, the petitioner respondent must
indemnify and hold the other party harmless from any adverse consequences to the other party if the bifurcation results in the
loss of the rights of the other party to a probate family allowance as the surviving spouse or surviving domestic partner.
d.
Except for any retirement plan, fund, or arrangement identified in any order issued and attached as set out in paragraph 3, until
a judgment has been entered on all remaining issues, the petitioner respondent must indemnify and hold
the other party harmless from any adverse consequences to the other party if the bifurcation results in the loss of the other
party's rights with respect to any retirement, survivor, or deferred compensation benefits under any plan, fund, or arrangement,
or to any elections or options associated with them, to the extent that the other party would have been entitled to those benefits
or elections as the spouse or surviving spouse or the domestic partner or surviving domestic partner of the moving party.
e.
The moving party must indemnify and hold the other party harmless from any adverse consequences if the bifurcation results
in the loss of rights to social security benefits or elections to the extent the other party would have been entitled to those
benefits or elections as the surviving spouse or surviving domestic partner of the moving party.
f.
Attachment 5(g), Order Re: Beneficiary Designation for Nonprobate Transfer Assets, will remain in effect for each covered
asset until the division of any community interest therein has been completed.
g.
Attachment 5(h), Order Re: Division of IRA Under Internal Revenue Code Section 408(d)(6), has been issued to preserve the
ability of petitioner respondent to defer distribution of his or her community interest on the death of the
IRA owner.
h.
FL-347 [Rev. July 1, 2012]
Page 2 of 3
5.
BIFURCATION OF STATUS OF MARRIAGE
OR DOMESTIC PARTNERSHIP—ATTACHMENT
(Family Law)
b.
Health insurance
Probate homestead
Probate family allowance
Retirement benefits
Social security benefits
Beneficiary designation— Nonprobate transfer
Individual Retirement Account
Until a judgment has been entered and filed on all remaining issues, the petitioner respondent must maintain
all existing health and medical insurance coverage for the other party, and that party must also maintain any minor children as
named dependents, as long as that party is eligible to do so. If at any time during this period the
petitioner respondent is not eligible to maintain that coverage, that party must, at his or her sole expense,
provide and maintain health and medical insurance coverage that is comparable to the existing health and medical insurance
coverage to the extent it is available.
If that coverage is not available, the petitioner respondent is responsible for paying the health and medical
care for the other party and the minor children to the extent that care would have been covered by the existing insurance
coverage but for the dissolution of marital status or domestic partnership, and will otherwise indemnify and hold the other party
harmless from any adverse consequences resulting from the loss or reduction of the existing coverage. "Health and medical
insurance coverage" includes any coverage under any group or individual health or other medical plan, fund, policy, or
program.